Ocular and cervical vestibular-evoked myogenic potentials in idiopathic sudden sensorineural hearing loss (ISSHL) without vertigo: VEMPs in ISSHL

Emanuele Scarano, Pasqualina Maria Picciotti, N. Quaranta, G. Longo, S. Dadduzio, V. Squeo

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose: Idiopathic sudden sensorineural hearing loss (ISSHL) is a hearing impairment greater than 30 dB at three consecutive frequencies developing in less than 3 days. The aim of this study was to evaluate VEMPs and caloric testing in patients affected by ISSHL without vertigo. Methods: We retrospectively evaluated 35 subjects affected by ISSHL. The audio-vestibular investigation consisted of pure-tone and speech audiometry, impedance, bithermal caloric testing, oVEMPs and cVEMPs. Results: VEMPS were abnormal in 21 patients (60%): cVEMPs in 12 (34.2%) and oVEMPs in 19 (54.2%). 10 patients (28.5%) presented with both c-and oVEMPs altered. Subjects without vestibular involvement showed a significant lower PTA in the affected ear both at admission and at discharge. Recovery rate was significantly higher in group without vestibular involvement. Conclusion: The evaluation of the vestibular system can be useful for predicting the auditory recovery in patients without vertigo also.
Original languageEnglish
Pages (from-to)409-414
Number of pages6
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume277
DOIs
Publication statusPublished - 2020

Keywords

  • Caloric test
  • ISSHL
  • Recovery
  • Vertigo
  • Vestibular
  • cVEMPs
  • oVEMPs

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